Flag of Lesotho


  • This mother received medication to prevent passing HIV on to her child. Her baby was born, HIV-free. His name is Rebone, which means “we have witnessed.”

Solar Technology
Introducing Solar Technology to Africa's Lesotho Highlands
Man at the Carewell Clinic
Demand Grows for Male Circumcision in Lesotho

About Lesotho

Lesotho suffers from high infant mortality rates and levels of malnutrition, in addition to having a high prevalence of tuberculosis and an HIV/AIDS prevalence of 23.4 percent (UNAIDS 2014). Decreased revenues from the Southern Africa Custom’s Union, due to the recent global economic downturn, have resulted in severe budget constraints for the government. One of the U.S. Government’s top priorities in Lesotho is strengthening democratic institutions.

The vast majority of USAID’s work in Lesotho is related to the President’s Emergency Plan for AIDS Relief (PEPFAR) program. Lesotho’s PEPFAR program is managed by USAID/SA’s Regional HIV/AIDS Program in Pretoria. Through the U.S.-Lesotho Partnership Framework on HIV and AIDS, the PEPFAR program focuses on the following four areas:

1. Reducing HIV incidence;
2. Reducing HIV/AIDS-related morbidity and mortality by providing treatment and care to people living with HIV and orphans and vulnerable children;
3. Improving human resource capacity to deliver HIV services; and
4. Strengthening health management information systems, labs, organizational capacity, and supply chains.

Other programs managed out of USAID Southern Africa's regional office in Pretoria include a democracy and governance activity focusing on judicial independence and human rights, an economic growth activity that reduces obstacles to foreign investment and seeks to expand the textile and garment industry, a climate change initiative, and humanitarian assistance programs.

Contact Information

Mission Contact

USAID/Southern Africa
100 Totius Street
P.O. Box 43
Postal Code - M 
+27 12 452 2000
+27 12 460 3177

USAID Contact

Yvette Moore
1300 Pennsylvania Ave NW
, DC